| Date of birth: | 1974 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 1000506 |
| SO#: | 281519 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0415431 |
| Booking date: | Jun 27, 2004 |
| Release date: | Jun 30, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $134 |
| Number: | 011202040 |
| Amount: | $1,050 |
| Number: | 04CR08294 |
| Amount: | $100 |
